1
|
Silva Neto F, Gadelha C, Silva L, Pazos N, Silva A, Silva M, Sousa B, Bernardes Dulgheroff AC, Guerra F, Magalhães da Silveira V, Oliveira M, Lima Neto R. Case Report: Ocular Sporotrichosis-A Seven-Case Series. Am J Trop Med Hyg 2023; 108:1109-1114. [PMID: 37188341 PMCID: PMC10540119 DOI: 10.4269/ajtmh.22-0501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 12/19/2022] [Indexed: 05/17/2023] Open
Abstract
Ocular infections associated with sporotrichosis can present four clinical manifestations: granulomatous conjunctivitis, dacryocystitis, Parinaud oculoglandular syndrome, and bulbar conjunctivitis. The incidence of ocular sporotrichosis related to zoonotic transmission has significantly increased in endemic regions and is a frequently misdiagnosed cause of granulomatous conjuntivitis. Therefore, we present a series of seven cases of eye injury by Sporothrix strains, including clinical forms, therapeutic approaches, and laboratory procedures to alert health professionals who provide care to these patients.
Collapse
Affiliation(s)
- Francisco Silva Neto
- Lauro Wanderley University Hospital, Federal University of Paraíba, João Pessoa, Brazil
- Department of Infectious, Parasitic and Inflammatory Diseases, Center for Medical Sciences, Federal University of Paraíba, João Pessoa, Brazil
| | - Camila Gadelha
- Undergraduated Course in Medicine, Center for Medical Sciences, Federal University of Paraíba, João Pessoa, Brazil
| | - Larissa Silva
- Post-Graduate Program in Bioactive Synthetic Natural products, Federal University of Paraíba, João Pessoa, Brazil
| | - Natália Pazos
- Post-Graduate Program in Bioactive Synthetic Natural products, Federal University of Paraíba, João Pessoa, Brazil
| | - Alan Silva
- Technical Health School, Federal University of Paraíba, João Pessoa, Brazil
| | - Mayara Silva
- Post-Graduate Program in Fungal Biology, Federal University of Pernambuco, Recife, Brazil
| | - Bruna Sousa
- Post-Graduate Program in Fungal Biology, Federal University of Pernambuco, Recife, Brazil
| | | | - Felipe Guerra
- Post-Graduate Program in Bioactive Synthetic Natural products, Federal University of Paraíba, João Pessoa, Brazil
| | - Vera Magalhães da Silveira
- Department of Tropical Medicine, Center for Medical Sciences, Federal University of Pernambuco, Recife, Brazil
| | - Manoel Oliveira
- Instituto Oswaldo Cruz (IOC/FIOCRUZ), Rio de Janeiro, Brazil
| | - Reginaldo Lima Neto
- Post-Graduate Program in Fungal Biology, Federal University of Pernambuco, Recife, Brazil
- Department of Tropical Medicine, Center for Medical Sciences, Federal University of Pernambuco, Recife, Brazil
| |
Collapse
|
2
|
Costa DMDN, Gouveia PADC, Silva GEDB, Neves PDMDM, Vajgel G, Cavalcante MAGDM, Oliveira CBLD, Valente LM, Silveira VMD. The relationship between chikungunya virus and the kidneys: A scoping review. Rev Med Virol 2023; 33:e2357. [PMID: 35521644 DOI: 10.1002/rmv.2357] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 03/14/2022] [Accepted: 04/11/2022] [Indexed: 01/28/2023]
Abstract
Several atypical forms of chikungunya fever (CHIK) have been described, including neurological, cardiac and renal involvement. These forms may be related to high morbidity and mortality rates. This scoping review based on the PubMed, Scopus, and WOS databases aims to identify and summarise all the available evidence regarding the clinical and histopathological presentations and risk factors associated with kidney injury related to CHIK, as well as the clinical impact. Thus, a total of 54 papers were selected from 1606 initial references after applying the defined inclusion criteria. Data on the association between kidney injury and CHIK are scarce, with studies only conducted in the acute phase of the disease, lacking further characterisation. Kidney injury incidence in hospitalised patients using the Kidney Disease Improving Global Outcomes criteria varies from 21% to 45%, being higher among patients with atypical and severe manifestations. Although acute kidney injury does not seem to be related to viraemia, it may be related to higher mortality. Few studies have described the renal histopathological changes in the acute phase of CHIK, with prevalent findings of acute interstitial nephritis with mononuclear infiltrate, glomerular congestion and nephrosclerosis. Only one study assessed the kidney function of patients in the subacute and chronic phases of CHIK. Additionally, individuals with comorbidities, including chronic kidney disease, may be among those with a greater risk of presenting worse outcomes when affected by CHIK. The results described herein may contribute to better understand the relationship between the kidneys and chikungunya virus.
Collapse
Affiliation(s)
| | | | | | - Precil Diego Miranda de Menezes Neves
- Nephrology Division, University of São Paulo School of Medicine, São Paulo, Brazil.,Nephrology and Dialysis Center, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil
| | - Gisele Vajgel
- Nephrology Division, Federal University of Pernambuco, Recife, Brazil
| | | | | | | | | |
Collapse
|
3
|
Porto CM, Silva VDL, da Luz JSB, Filho BM, da Silveira VM. Association between vitamin D deficiency and heart failure risk in the elderly. ESC Heart Fail 2018; 5:63-74. [PMID: 28817241 PMCID: PMC5793960 DOI: 10.1002/ehf2.12198] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Revised: 05/22/2017] [Accepted: 06/21/2017] [Indexed: 12/23/2022] Open
Abstract
AIMS The aim of this study was to evaluate the association between vitamin D deficiency and risk of heart failure in elderly patients of cardiology outpatient clinics. METHODS AND RESULTS A cross-sectional study with an analytical approach was employed. Clinical data were collected from the elderly from August 2015 to February 2016. The dependent variable was the risk of heart failure; the independent variable was vitamin D deficiency; and intervening factors were age, gender, education, ethnicity, hypertension, diabetes mellitus, hypothyroidism, renal failure, dementia, stroke, dyslipidaemia, depression, smoking, alcoholism, obesity, andropause, and cardiac arrhythmia. To analyse the association between vitamin D deficiency and risk of heart failure, we used the bivariate logistic analysis, followed by analysis through the multivariate logistic regression model. Of the 137 elderly, the study found the following: women (75.9%); overweight (48.2%); obese (30.6%); increase in the index waist/hip (88.3%); dyslipidaemia (94.2%) and hypertension (91.2%); coronary artery disease (35.0%); and 27.7% with cardiac arrhythmia or left ventricular hypertrophy. Sixty-five per cent of the elderly were deficient in vitamin D. The risk of heart failure was significantly associated with vitamin D deficiency [odds ratio (OR): 12.19; 95% confidence interval (CI) = 4.23-35.16; P = 0.000], male gender (OR: 15.32; 95% CI = 3.39-69.20, P = 0.000), obesity (OR: 4.17; 95% CI = 1.36-12.81; P = 0.012), and cardiac arrhythmia (OR: 3.69; 95% CI = 1.23-11.11; P = 0.020). CONCLUSIONS There was a high prevalence of vitamin D deficiency in the elderly, and the evidence shows a strong association between vitamin D deficiency and increased risk of heart failure in this population.
Collapse
Affiliation(s)
- Catarina Magalhães Porto
- Post‐graduate Program in NeuropsychiatryFederal University of PernambucoAv. Prof. Moraes Rego, 1235, Cidade UniversitáriaRecife‐PEBrazil
- Department of Cardiology‐Hospital das ClínicasFederal University of PernambucoAv. Prof. Moraes Rego, 1235, Cidade UniversitáriaRecife‐PEBrazil
| | - Vanessa De Lima Silva
- Department of Speech and Hearing TherapyFederal University of PernambucoAv. Prof. Moraes Rego,1235, Cidade UniversitáriaRecife‐PEBrazil
| | - João Soares Brito da Luz
- Post‐graduate Program in Therapeutic InnovationFederal University of PernambucoAv. Prof. Moraes Rego, 1235, Cidade UniversitáriaRecife‐PEBrazil
| | - Brivaldo Markman Filho
- Department of Cardiology‐Hospital das ClínicasFederal University of PernambucoAv. Prof. Moraes Rego, 1235, Cidade UniversitáriaRecife‐PEBrazil
| | - Vera Magalhães da Silveira
- Department of Infectology‐Hospital das ClínicasFederal University of PernambucoAv. Prof. Moraes Rego,1235, Cidade UniversitáriaRecife‐PEBrazil
| |
Collapse
|
4
|
Lima CTD, Araújo PSRD, Teixeira HMD, Santos JBD, Silveira VMD. Clinical and laboratory characteristics, staging, and outcomes of individuals with AIDS-associated Kaposi's sarcoma at an university hospital. An Bras Dermatol 2017; 92:172-176. [PMID: 28538874 PMCID: PMC5429100 DOI: 10.1590/abd1806-4841.20175377] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2015] [Accepted: 04/06/2016] [Indexed: 11/21/2022] Open
Abstract
Background: Kaposi's sarcoma continues to be the most common human immunodeficiency virus - associated neoplasm with considerable morbidity and mortality. Objective: To describe the clinical and laboratory characteristics, initial staging, and outcomes of aids patients with Kaposi's sarcoma at an university hospital of Recife, Pernambuco. Methods: This is a descriptive study with analytic character, retrospective, of a case series between 2004 and 2014. Results: Of the 22 patients included in the study, 20 were aged <40 years (72.7%). The majority had CD4+ T lymphocyte counts of <200 cells/mm3 (77.3%) and human immunodeficiency virus loads of <100,000 copies/mL (78.9%). Lesions were most commonly observed on the skin (90%), and internal organs were affected in 11 of the 22 patients. Only 7 (31.8%) of the 22 patients were undergoing antiretroviral therapy (ART) at the time of Kaposis sarcoma diagnosis, and the initial disease staging classification was high risk (Aids Clinical Trials Group Oncology Committee) in 19 of the 22 patients (86.4%). Regarding Kaposi's sarcoma treatment, 17 of 22 patients (77.3%) underwent systemic chemotherapy + ART and 5 were treated exclusively with ART. Eight of the 22 patients died (36.5%); of these, 87.5% had died within one year of Kaposi's sarcoma diagnosis. Limitation of the study: Without a control group, this study cannot be used to generate hypotheses. Conclusions: Despite the association between aids and late Kaposi's sarcoma diagnosis in the study population, including an unfavorable risk at the time of staging, a lower mortality rate was observed relative to other studies; this might be related to access to a specialized health service.
Collapse
Affiliation(s)
- Catarina Tenório de Lima
- Commission and Hospital Infection Control Service of the Hospital Barão de Lucena - Recife (PE), Brazil
| | - Paulo Sérgio Ramos de Araújo
- Department of Tropical Medicine - Universidade Federal de Pernambuco (UFPE) - Recife (PE), Brazil.,Ageu Magalhães Research Center - Fundação Oswaldo Cruz (CPqAM-Fiocruz) - Recife (PE), Brazil
| | - Heberton Medeiros de Teixeira
- Department of Clinical Oncology - Real Hospital Português de Beneficência de Pernambuco - Recife (PE), Brazil.,Department of Clinical Oncology - Hospital Barão de Lucena - Recife (PE), Brazil
| | - Josemir Belo Dos Santos
- Department of Tropical Medicine - Universidade Federal de Pernambuco (UFPE) - Recife (PE), Brazil.,Dermatology Service of the Hospital das Clínicas of the Universidade Federal de Pernambuco (HC-UFPE) - Recife (PE), Brazil
| | | |
Collapse
|
5
|
Souza Lopes AC, Rodrigues JF, Cabral AB, da Silva ME, Leal NC, da Silveira VM, de Morais Júnior MA. Occurrence and analysis of irp2 virulence gene in isolates of Klebsiella pneumoniae and Enterobacter spp. from microbiota and hospital and community-acquired infections. Microb Pathog 2016; 96:15-9. [PMID: 27133266 DOI: 10.1016/j.micpath.2016.04.018] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2014] [Revised: 04/14/2016] [Accepted: 04/28/2016] [Indexed: 11/27/2022]
Abstract
Eighty-five isolates of Klebsiella pneumoniae and Enterobacter spp., originating from hospital- and community-acquired infections and from oropharyngeal and faecal microbiota from patients in Recife-PE, Brazil, were analyzed regarding the presence of irp2 gene. This is a Yersinia typical gene involved in the synthesis of siderophore yersiniabactin. DNA sequencing confirmed the identity of irp2 gene in five K. pneumoniae, five Enterobacter aerogenes and one Enterobacter amnigenus isolates. To our knowledge in the current literature, this is the first report of the irp2 gene in E. amnigenus, a species considered an unusual human pathogen, and in K. pneumoniae and E. aerogenes isolates from the normal microbiota and from community infections, respectively. Additionally, the analyses of nucleotide and amino acid sequences suggest the irp2 genes derived from isolates used in this study are more closely related to that of Yersinia pestis P.CE882 than to that of Yersinia enterocolitica 8081. These data demonstrated that K. pneumoniae and Enterobacter spp. from normal microbiota and from community- and hospital-acquired infections possess virulence factors important for the establishment of extra-intestinal infections.
Collapse
Affiliation(s)
- Ana Catarina Souza Lopes
- Departamento de Medicina Tropical, Universidade Federal de Pernambuco, Recife, PE, 50.732-970, Brazil.
| | - Juliana Falcão Rodrigues
- Departamento de Microbiologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, Brazil
| | - Adriane Borges Cabral
- Departamento de Medicina Tropical, Universidade Federal de Pernambuco, Recife, PE, 50.732-970, Brazil
| | - Maíra Espíndola da Silva
- Departamento de Medicina Tropical, Universidade Federal de Pernambuco, Recife, PE, 50.732-970, Brazil
| | - Nilma Cintra Leal
- Departamento de Microbiologia, Centro de Pesquisas Aggeu Magalhães, FIOCRUZ/MS, Recife, PE, Brazil
| | | | | |
Collapse
|
6
|
Teixeira MAG, Silveira VMD, França ERD. [Characteristics of leprosy reactions in paucibacillary and multibacillary individuals attended at two reference centers in Recife, Pernambuco]. Rev Soc Bras Med Trop 2011; 43:287-92. [PMID: 20563498 DOI: 10.1590/s0037-86822010000300015] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2009] [Accepted: 03/25/2010] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION Significant reactions frequently occur among leprosy cases, and thus a significant proportion of leprosy patients present disabilities and undergo leprosy retreatment. Clinical-epidemiological characterization of reaction patterns is essential for managing such patients. Objective to describe the epidemiological and clinical characteristics of leprosy reactions among paucibacillary and multibacillary individuals. METHODS In this cross-sectional study, 201 patients with histories of reactions who were attended at two reference centers for leprosy treatment were evaluated. Variables such as initial bacilloscopy, sex, age, skin phototype, origin, clinical presentation, type of treatment, type of reaction, final bacilloscopy index and time of reaction onset in relation to the treatment were evaluated. Statistical analysis was performed using simple frequencies. To calculate risk factors for multibacillary forms, univariate and multivariate analyses were performed. RESULTS Male sex, age between 30 and 44 years, phototype V, borderline clinical form, regular treatment, type I reaction, neuritis, presence of 10 to 20 nodules and onset of the leprosy reaction during the treatment were the most frequent findings. CONCLUSIONS Male patients predominated and were associated with greater risk of developing the multibacillary forms. Leprosy reactions occurred most frequently during the treatment. Multibacillary patients were more likely to need leprosy retreatment, and those with type I and type II reactions presented greater frequency of neuritis, lymphadenopathy, arthritis and iritis than did those with isolated reactions.
Collapse
|
7
|
Kovacs FT, Silveira VMD, Bandeira AM. Escabiose na cabeça e pescoço: nós a estamos reconhecendo? An Bras Dermatol 2008. [DOI: 10.1590/s0365-05962008000100011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Apesar de o acometimento de cabeça e pescoço de crianças mais velhas e adultos na escabiose ser conhecido, a literatura é pobre em sua descrição. Estudados 124 pacientes com escabiose clássica com cinco anos de idade ou mais, para pesquisa, descrição e registro fotográfico das lesões de cabeça e pescoço. Esses locais foram acometidos em 35,8% dos casos, e as lesões mais encontradas foram crostas hemáticas, pápulas eritematosas com e sem escoriações ou crostas sobrepostas e descamação adjacente.
Collapse
|